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1114611035
KELLY MONTGOMERY
PHILADELPHIA, PA
NPI
1114611035
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: PA MT229002)
Enumeration Date
2023-06-05
Last Update Date
2023-06-05
Business Address
KELLY MONTGOMERY MD
3401 N BROAD ST
PHILADELPHIA, PA 19140-5103
Phone number: 800-836-7536
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Mailing Address
KELLY MONTGOMERY MD
2036 CARMEL DR
JAMISON, PA 18929-1437
Phone number: 267-615-4813
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